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哮喘的微生物组、代谢和免疫调节:美国胸科学会和美国国立过敏和传染病研究所研讨会报告。

Microbiome, Metabolism, and Immunoregulation of Asthma: An American Thoracic Society and National Institute of Allergy and Infectious Diseases Workshop Report.

出版信息

Am J Respir Cell Mol Biol. 2022 Aug;67(2):155-163. doi: 10.1165/rcmb.2022-0216ST.

Abstract

This report presents the proceedings from a workshop titled "Microbiome, Metabolism and Immunoregulation of Asthma" that was held virtually May 13 and 14, 2021. The workshop was jointly sponsored by the American Thoracic Society (Assembly on Allergy, Immunology, and Inflammation) and the National Institute of Allergy and Infectious Diseases. It convened an interdisciplinary group of experts with backgrounds in asthma immunology, microbiome science, metabolomics, computational biology, and translational pulmonary research. The main purpose was to identify key scientific gaps and needs to further advance research on microbial and metabolic mechanisms that may contribute to variable immune responses and disease heterogeneity in asthma. Discussions were structured around several topics, including ) immune and microbial mechanisms of asthma pathogenesis in murine models, ) the role of microbes in pediatric asthma exacerbations, ) dysregulated metabolic pathways in asthma associated with obesity, ) metabolism effects on macrophage function in adipose tissue and the lungs, ) computational approaches to dissect microbiome-metabolite links, and ) potential confounders of microbiome-disease associations in human studies. This report summarizes the major points of discussion, which included identification of specific knowledge gaps, challenges, and suggested directions for future research. These include questions surrounding mechanisms by which microbiota and metabolites shape host health versus an allergic or asthmatic state; direct and indirect influences of other biological factors, exposures, and comorbidities on these interactions; and ongoing technical and analytical gaps for clinical translation.

摘要

本报告介绍了 2021 年 5 月 13 日和 14 日举行的题为“哮喘的微生物组、代谢和免疫调节”的研讨会的会议记录。该研讨会由美国胸科学会(过敏、免疫学和炎症分会)和美国国立过敏和传染病研究所联合主办。会议召集了一组具有哮喘免疫学、微生物组科学、代谢组学、计算生物学和转化性肺部研究背景的跨学科专家。主要目的是确定关键的科学差距和需求,以进一步推进对微生物和代谢机制的研究,这些机制可能有助于哮喘中可变的免疫反应和疾病异质性。讨论围绕几个主题展开,包括)哮喘发病机制中的免疫和微生物机制在小鼠模型中,)微生物在儿科哮喘恶化中的作用,)与肥胖相关的哮喘中失调的代谢途径,)代谢对脂肪组织和肺部巨噬细胞功能的影响,)解析微生物组-代谢物联系的计算方法,以及)人类研究中微生物组-疾病关联的潜在混杂因素。本报告总结了讨论的要点,包括确定具体的知识差距、挑战和未来研究的建议方向。这些问题包括:微生物群和代谢物塑造宿主健康与过敏或哮喘状态的机制;其他生物因素、暴露和合并症对这些相互作用的直接和间接影响;以及临床转化的持续技术和分析差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df78/9348558/34d193d41e4e/rcmb.2022-0216STf1.jpg

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